Health Advocate

Pay Range:

Please email HR_Talent_AcquisitionTeam@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process.

At BCBSRI, our greatest resource is our people.

We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do—not just for our members, but for our employees as well.

We recognize that to do your best work, you have to be your best self.
It’s why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees.

Our culture is one of belonging.
We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you’re at in the organization, you’re an integral part of our team and your input, thoughts, and ideas are valued.

Join others who value a workplace for all.
We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders.

We’re dedicated to serving Rhode Islanders.
Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer.

What you will do:

• Respond to member phone calls and conduct outreach calls to identified members; facilitate problem resolution through research. Refer call to appropriate resources in a timely manner.
• Promote health management programs and provide community resources available to members; utilize engagement skills and motivational interviewing techniques to enroll members in programs.
• Maintain supportive communication with the member via the member’s channel preference (phone, web, e-mail, mail); provide education, monitor and reporting compliance, identify gaps in care, and adjust the plan as needed.
• Consult with internal clinical staff as needed when assessment or gaps in care indicate increasing severity of the member’s condition requiring more intense monitoring and intervention.
• Consult with other clinical staff (dietician, behavioral health clinician, medical director) on an as needed basis.
• Participate in ongoing quality improvement initiatives and overall department efficiencies.
• Assist team with department initiatives and projects.
• Perform other duties as assigned.

What you’ll need to succeed :

• Associate’s or Bachelor’s degree in Business Management, Healthcare Administration, or Unrestricted Rhode Island LPN or LVN Nursing License; or an equivalent combination of education and experience
• Two to four years’ experience in a health-related position

The extras :

• Engagement and sales skills necessary for enrolling members into health management programs
• Persuasive skills required to negotiate, develop, influence, motivate, and move others through the stages of behavior change
• Interpersonal skills in order to interact effectively with internal and external customers
• Ability to research data, identify trends and recommend appropriate actions
• Detail oriented
• Ability to work successfully in a matrix environment
• Demonstrated written and verbal communications skills
• Ability to exercise sound judgment
• Ability to establish and maintain strong working relationships with various stakeholders
• Ability to organize work efficiently to meet established time and quality standards
• Good organization skills
• Good time management skills
Proficiency with Microsoft Suite of products; i.e., Word, Excel, PPT, etc

Location:
BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:

• In-office : onsite 5 days per week
• Hybrid: onsite 2-4 days per week
• Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia
  
  

Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today’s healthcare industry. BCBSRI is an equal opportunity employer.

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